Form 990 for tax year 2022

Revenue

Part VIII, the statement of revenue.

• 1e · Government grants (contributions)

  $100,000

• 1f · All other contributions, gifts and grants

  $29,485

• 2a · Program service revenue: NET PATIENT SERVICE REVENUE

  total $10,635,332 · related or exempt $10,635,332

• 3 · Investment income

  total $12,497 · excluded $12,497

• 11a · Other revenue: MEALS ON WHEELS

  total $31,563 · excluded $31,563

• 11b · Other revenue: CAFETERIA/LAUNDRY SERVICES

  total $28,670 · excluded $28,670

• 11c · Other revenue: BEAUTY/BARBER SHOP

  total $8,860 · excluded $8,860

• 11d · All other revenue

  total $7,455 · excluded $7,455

• 11e · Other revenue, total

  $76,548

Functional expenses

Part IX, the statement of functional expenses.

• 7 · Other salaries and wages

  total $5,527,610 · program services $4,809,021 · management and general $718,589

• 9 · Other employee benefits

  total $260,307 · program services $226,467 · management and general $33,840

• 10 · Payroll taxes

  total $609,884 · program services $530,599 · management and general $79,285

• 11a · Fees: management

  total $128,827 · management and general $128,827

• 11b · Fees: legal

  total $29,500 · program services $29,500

• 11g · Fees: other

  total $869,262 · program services $756,258 · management and general $113,004

• 12 · Advertising and promotion

  total $60 · program services $52 · management and general $8

• 13 · Office expenses

  total $55,362 · program services $48,165 · management and general $7,197

• 16 · Occupancy

  total $332,179 · program services $288,996 · management and general $43,183

• 22 · Depreciation, depletion and amortization

  total $398,724 · program services $346,890 · management and general $51,834

• 23 · Insurance

  total $284,531 · management and general $284,531

• 24a · Other expenses: MEDICAL SUPPLIES

  total $935,671 · program services $814,034 · management and general $121,637

• 24b · Other expenses: PHARMACY

  total $479,459 · program services $479,459

• 24c · Other expenses: BAD DEBT EXPENSE

  total $390,620 · program services $390,620

• 24d · Other expenses: PROVIDER TAX

  total $335,873 · program services $335,873

• 24e · All other expenses

  total $228,403 · program services $198,710 · management and general $29,693

Balance sheet

Part X, book values.

• 2 · Savings and temporary cash investments

  beginning of year $818,259 · end of year $674,859

• 4 · Accounts receivable

  beginning of year $1,978,333 · end of year $1,414,105

• 8 · Inventories for sale or use

  beginning of year $108,269 · end of year $111,621

• 9 · Prepaid expenses and deferred charges

  beginning of year $11,292 · end of year $37,955

• 10a · Land, buildings and equipment: cost or other basis

  $11,799,291

• 10b · Land, buildings and equipment: accumulated depreciation

  $325,141

• 10c · Land, buildings and equipment, net

  beginning of year $6,078,176 · end of year $11,474,150

• 15 · Other assets

  beginning of year $1,821,598 · end of year $58,000

• 17 · Accounts payable and accrued expenses

  beginning of year $587,580 · end of year $381,987

• 25 · Other liabilities

  beginning of year $1,173,520 · end of year $720,812

• 27 · Net assets without donor restrictions

  beginning of year $9,054,827 · end of year $12,667,891

The filer's explanations (Part III)

PART I, LINE 3

COMPENSATION FOR THE CEO IS DETERMINED BY ASHLAND HOSPITAL CORPORATION (RELATED ORGANIZATION) USING THE FOLLOWING METHODS: INDEPENDENT COMPENSATION CONSULTANT, COMPENSATION SURVEY/STUDY, AND APPROVAL BY THE BOARD/COMPENSATION COMMITTEE.

PART I, LINES 4A-B

THE FOLLOWING EMPLOYEES RECEIVED CHANGE IN CONTROL PAYMENTS: - SHERYL MAHANEY: $1,209,162 - SARA MARKS: $1,175,614 - AUTUMN MCFANN: $1,208,771 THESE WERE PAID AS A RESULT OF THE 12/1/22 MEMBER SUBSTITUTION WITH THE UNIVERSITY OF KENTUCKY. THE FOLLOWING INDIVIDUALS RECEIVED PAYMENTS FROM A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN: - AUTUMN MCFANN: $18,996 - SARA MARKS: $19,541 THE CEO AND CERTAIN VICE PRESIDENTS, WHOSE BENEFIT IN THE QUALIFIED TAX SHELTERED ANNUITY PLAN IS LIMITED DUE TO THE IRS COMPENSATION AND BENEFIT LIMITS, RECEIVE A BENEFIT RESTORATION CONTRIBUTION UNDER THE DEFERRED ANNUITY PLAN THAT IS PAID AS A TAXABLE DISTRIBUTION TO THE PARTICIPANT ANNUALLY. THE FOLLOWING EMPLOYEES RECEIVED 457(F) EXECUTIVE RETENTION PLAN PAYOUTS: - AUTUMN MCFANN: $50,000 - SARA MARKS: $50,000 ALL OF THESE PAYMENTS WERE MADE BY AHC.

PART I, LINE 7

NONFIXED PAYMENTS ARE MADE AS A PART OF THE MEDICAL CENTER'S TEAM INCENTIVE AWARD (TIA) PLAN. ALL TEAM MEMBERS ARE ELIGIBLE FOR THE TIA. THE TIA IS PAID OUT BASED UPON SUCCESSFUL COMPLETION OF BOTH QUANTITATIVE AND QUALITATIVE STRATEGIC GOALS, SET ANNUALLY BY THE MEDICAL CENTER LEADERSHIP TEAM AND APPROVED BY THE BOARD OF DIRECTORS.

Related corporations and trusts

Part IV: related organizations taxable as a corporation or trust.

• ASHLAND MEDICAL PROPERTIES INC

  C · RENTALS · KY